Federal Graduate PLUS Loan Request

Federal Graduate PLUS Loan Request
Center for Student Financial Aid
California State University, Los Angeles
For office use only:
5151 State University Drive, SA 124
Los Angeles, CA 90032-8402
Phone: (323) 343-6260
Fax: (323) 343-3166
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Federal GRADUATE PLUS Loan Request Form
Last Name
___________________________ _____
First Name
Email Address
Campus Identification Number (CIN)
Phone Number (include area code)
Loan Eligibility: Only students who are “Classified Graduated/Masters” students may borrow the GRAD PLUS loan. Students who are
“Conditionally-Classified” are not eligible to apply. This request will only be processed for students who have already borrowed up to
the $20,500 Unsubsidized Direct Loan annual limit for graduate students.
Requested Amount: $
.00 Terms:
☐ Fall ’16
☐ Spring ‘17 ☐ Summer ‘17
You MUST complete an electronic Master Promissory Note (MPN) and Loan Entrance Counseling online via
PLEASE NOTE: Completion of the MPN and Entrance counseling session for the Subsidized and Unsubsidized loans does
not fulfill the MPN and loan counseling requirement for the GRAD PLUS loan.
Attach to this request confirmation of proof of completion of the GRAD PLUS Loan Entrance Counseling.
Student Certification:
By signing below, I request California State University, Los Angeles to transmit the loan data required to process my Federal GRAD PLUS
Loan. I consent to the U.S. Department of Education and its agents obtaining a report of my credit record and using the information to
determine whether to make a Federal Direct Loan to me. I understand the Department of Education will notify me in writing of the
results of the credit check with respect to my loan application. I am requesting a loan for the enrollment period and amount listed
above, or the lesser amount for which I am eligible to borrow. My signature below authorizes CSULA to credit the loan proceeds
received to my student’s account to pay for any University charges. I understand any loan funds in excess of University charges will be
mailed to me in the form of a check or via Direct Deposit to my checking or Savings account if I have enrolled in Eagle Express Direct
Deposit http://www.calstatela.edu/univ/sfinserv/dirdep.php .
I understand the requirements for enrollment and Satisfactory Academic Progress as provided at
/Docs/sap_policy.pdf. I understand a change in enrollment may result in reduction or cancellation of the GRAD PLUS Loan
and any refund to which I am entitled will first be remitted to the Direct Loan Servicer.
I accept responsibility for repayment of any loans awarded to me. I understand that I must be enrolled at least half-time to
remain eligible for loan funds. I understand that loan recipients are required by law to complete an exit interview prior to
graduation, withdrawal from all classes, interruption of study, or if the student drops to less than half-time (6 units)
enrollment. I further understand that my university records may be held if I do not complete an exit interview.
I have read the attached information and I am aware that is a loan request and that the loan must be repaid according in the
conditions of my promissory note.
I certify that I will use any money I receive under the Title IV student financial aid programs solely for educational expenses
related to attendance at CSU, Los Angeles.
I also certify that at the present time I do not owe a refund or repayment to any institution on any Title IV grant.
I am not currently in default on any Title IV loan and have not borrowed in excess of the Title IV loan limits at any institution.
Student’s Signature ___________________________________________
Date: ________________________________________
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